NPI 1053119735

Isabella Reese Augustine, DMD

Practitioner General Practice Dentistry Midvale, UT

Practice location

Address: 49 W Center St, Midvale, UT 84047-7364
Phone: (385) 887-9002

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 14292042-9926 (UT)

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Registry record

NPI: 1053119735
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Mar 2025
Record last updated: 29 Jun 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.